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House Speaker Paul D. Ryan is selling the Republicans’ health care bill the same way he did the presidential candidacy of Donald Trump. But on the health front, his pitch is falling flat with conservatives.

“Binary choice” is the phrase the Wisconsin Republican used during the presidential election to describe his reason for supporting Trump over Democratic nominee Hillary Clinton. Ryan acknowledged throughout the campaign that both candidates were flawed but Trump was the better of two options, the only one who would help Republicans advance their legislative agenda.

“It really comes down to a binary choice,” the speaker said Thursday during his weekly press conference about moving forward with the GOP’s plan or leaving in place the 2010 health care law.

“This is the closest we will ever get to repealing and replacing Obamacare,” Ryan said. “The time is here. The time is now. This is the moment. And this is the closest this will ever happen.”

Acknowledging that the filters or priorities by which one notices anything else are entirely unto that individual, and thus a psychological mystery generally describing anyone’s particular expression, there are also days when, you know, whatever, because I sure as hell didn’t―